Alcohol use disorders among substance dependent women on Temporary Assistance with Needy Families: more information for diagnostic modifications for DSM-5.
Alcohol use disorders among substance dependent women on Temporary Assistance with Needy Families: more information for diagnostic modifications for DSM-5.
复制标题
接受贫困家庭临时援助的物质依赖妇女中的酒精使用障碍：有关 DSM-5 诊断修改的更多信息。
DOI：
10.1111/j.1521-0391.2013.12042.x
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Morgenstern,Jon
中科院分区：
文献类型：
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作者：
Kuerbis,AlexisN;Hagman,BrettT;Morgenstern,Jon
PurposeWhile modifications to alcohol use disorder (AUD) criteria are proposed for DSM‐5, examination of the criteria's performance among highly vulnerable populations is lacking. This study determined the dimensionality and rank order severity of the DSM‐IV AUD criteria among Temporary Assistance for Needy Families (TANF) recipients with high rates of chemical dependency and co‐morbid mental health disorders.MethodSecondary analysis was performed on data from 461 TANF eligible women screened for AUD criteria using the Structured Clinical Interview for DSM‐IV‐TR. Exploratory (EFA) and confirmatory factor analyses (CFA) were performed on the AUD criteria. Two‐parameter Item Response Theory (IRT) analysis was performed to determine item location and discrimination of criteria for both abuse and dependence. Differential item functioning for those with an additional substance use disorder or with high levels of depressive symptoms was explored.Results41.2% met criteria for dependence, and 4.4% for abuse. EFA and CFA revealed a two‐factor model provided adequate fit to criteria, and IRT indicated a potential hierarchical order between the criteria—abuse being more severe but dependence having greater reliability.ConclusionContrary to existing literature, findings suggest that a two‐factor solution may be appropriate. Implications are discussed. (Am J Addict 2013;22:402–410)
